What To Do About Avian Flu

A number of countries are reporting cases oftravelers to countries in Asia with documented
avian influenza, commonly referred to as "bird flu"H5N1 outbreaks to avoid poultry farms, contact
in their domestic and wild bird populations. Thewith animals in live food markets, and any
H5N1 strain of influenza causes severe disease insurfaces that appear to be contaminated with
domesticated fowl. In addition, there arefeces or fluids from poultry or other animals. In
confirmed cases of bird-to-human transmissionsaddition, the Department has asked its embassies
of avian influenza in the South East Asia region,and consulates to consider preparedness
many of which have resulted in death. Please visitmeasures that take into consideration the fact
the WHO website, for the most up to datethat travel into or out of a country may not be
information on the countries affected and thepossible, safe or medically advisable. Specific CDC
number of deaths.travel information relating to avian influenza,
The vast majority of the known human casesincluding preventive measures is available at WHO
have resulted from direct contact with poultry,guidance related to avian influenza is available at
and there is only limited evidence to suggestA specific vaccine for humans that is effective
possible human-to-human transmission. Theagainst avian influenza has not yet been
Centers for Disease Control and Preventiondeveloped. Based upon limited data, the CDC has
(CDC), the World Health Organization (WHO), andsuggested that the anti-viral medication
the Department are concerned about theOseltamivir (brand name-Tamiflu) may be
potential for human-to-human transmission of thiseffective in preventing or treating avian influenza.
highly dangerous flu strain, and are working closelyUsing this input, the Department of State has
with other partners in an effort to monitor thedecided to pre-position the drug Tamiflu at its
outbreak.Embassies and Consulates worldwide, for eligible
Concerns about the possibility of an avianU.S. Government employees and their families
influenza pandemic have prompted internationalserving abroad. Tamiflu may not be readily
and national efforts to institute pandemicavailable overseas and the State Department
preparedness measures. In keeping with the CDCencourages American citizens traveling or living
and the WHO guidance, the Department of Stateabroad that are interested in obtaining this
is working with its embassies and consulatesmedication to consult with their physician. There is
worldwide to prepare in the event of a pandemic.no provision for the U.S. government to provide
American citizens traveling to or living in countriesAmerican citizens traveling or living abroad with
where avian influenza is prevalent should considermedications, including in the event of a pandemic.
the potential risks and keep informed of the latestAmericans who are planning travel to a country
medical guidance and information in order to makethat has reported the virus or who are concerned
appropriate plans.about the Avian flu are advised to monitor the
The Department, the CDC and the WHO haveCDC and the WHO web sites for the latest
not issued any travel alerts or warnings for avianinformation.
flu-infected areas. However, the CDC advises